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Florida Statute 408.039 - Full Text and Legal Analysis
Florida Statute 408.039 | Lawyer Caselaw & Research
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The 2025 Florida Statutes

Title XXIX
PUBLIC HEALTH
Chapter 408
HEALTH CARE ADMINISTRATION
View Entire Chapter
408.039 Review process.The review process for certificates of need shall be as follows:
(1) REVIEW CYCLES.The agency by rule shall provide for applications to be submitted on a timetable or cycle basis; provide for review on a timely basis; and provide for all completed applications pertaining to similar types of services or facilities affecting the same service district to be considered in relation to each other no less often than annually.
(2) LETTERS OF INTENT.
(a) At least 30 days prior to filing an application, a letter of intent shall be filed by the applicant with the agency, respecting the development of a proposal subject to review. No letter of intent is required for expedited projects as defined by rule by the agency.
(b) The agency shall provide a mechanism by which applications may be filed to compete with proposals described in filed letters of intent.
(c) Letters of intent must describe the proposal; specify the number of beds sought, if any; identify the services to be provided and the specific subdistrict location; and identify the applicant.
(d) Within 21 days after filing a letter of intent, the agency shall publish notice of the filing of letters of intent in the Florida Administrative Register and notice that, if requested, a public hearing shall be held at the local level within 21 days after the application is deemed complete. Notices under this paragraph must contain due dates applicable to the cycle for filing applications and for requesting a hearing.
(3) APPLICATION PROCESSING.
(a) An applicant shall file an application with the agency and shall furnish a copy of the application to the agency. Within 15 days after the applicable application filing deadline established by agency rule, the staff of the agency shall determine if the application is complete. If the application is incomplete, the staff shall request specific information from the applicant necessary for the application to be complete; however, the staff may make only one such request. If the requested information is not filed with the agency within 21 days after the receipt of the staff’s request, the application shall be deemed incomplete and deemed withdrawn from consideration.
(b) Upon the request of any applicant or substantially affected person within 14 days after notice that an application has been filed, a public hearing may be held at the agency’s discretion if the agency determines that a proposed project involves issues of great local public interest. In such cases, the agency shall attend the public hearing. The public hearing shall allow applicants and other interested parties reasonable time to present their positions and to present rebuttal information. A recorded verbatim record of the hearing shall be maintained. The public hearing shall be held at the local level within 21 days after the application is deemed complete.
(4) STAFF RECOMMENDATIONS.
(a) The agency’s review of and final agency action on applications shall be in accordance with statutory criteria and the implementing administrative rules. In the application review process, the agency shall give a preference, as defined by rule of the agency, to an applicant which proposes to develop a nursing home in a nursing home geographically underserved area.
(b) Within 60 days after all the applications in a review cycle are determined to be complete, the agency shall issue its State Agency Action Report and Notice of Intent to grant a certificate of need for the project in its entirety, to grant a certificate of need for identifiable portions of the project, or to deny a certificate of need. The State Agency Action Report shall set forth in writing its findings of fact and determinations upon which its decision is based. If the agency intends to grant a certificate of need, the State Agency Action Report or the Notice of Intent shall also include any conditions which the agency intends to attach to the certificate of need. The agency shall designate by rule a senior staff person, other than the person who issues the final order, to issue State Agency Action Reports and Notices of Intent.
(c) The agency shall publish its proposed decision set forth in the Notice of Intent in the Florida Administrative Register within 14 days after the Notice of Intent is issued.
(d) If no administrative hearing is requested pursuant to subsection (5), the State Agency Action Report and the Notice of Intent shall become the final order of the agency. The agency shall provide a copy of the final order to the appropriate local health council.
(5) ADMINISTRATIVE HEARINGS.
(a) Within 21 days after publication of notice of the State Agency Action Report and Notice of Intent, any person authorized under paragraph (c) to participate in a hearing may file a request for an administrative hearing; failure to file a request for hearing within 21 days of publication of notice shall constitute a waiver of any right to a hearing and a waiver of the right to contest the final decision of the agency. A copy of the request for hearing shall be served on the applicant.
(b) Hearings shall be held in Tallahassee unless the administrative law judge determines that changing the location will facilitate the proceedings. The agency shall assign proceedings requiring hearings to the Division of Administrative Hearings of the Department of Management Services within 10 days after the time has expired for requesting a hearing. Except upon unanimous consent of the parties or upon the granting by the administrative law judge of a motion of continuance, hearings shall commence within 60 days after the administrative law judge has been assigned. All parties, except the agency, shall bear their own expense of preparing a transcript. In any application for a certificate of need which is referred to the Division of Administrative Hearings for hearing, the administrative law judge shall complete and submit to the parties a recommended order as provided in ss. 120.569 and 120.57. The recommended order shall be issued within 30 days after the receipt of the proposed recommended orders or the deadline for submission of such proposed recommended orders, whichever is earlier. The division shall adopt procedures for administrative hearings which shall maximize the use of stipulated facts and shall provide for the admission of prepared testimony.
(c) In administrative proceedings challenging the issuance or denial of a certificate of need, only applicants considered by the agency in the same batching cycle are entitled to a comparative hearing on their applications. Existing health care facilities may initiate or intervene in an administrative hearing upon a showing that an established program will be substantially affected by the issuance of any certificate of need, whether reviewed under s. 408.036(1) or (2), to a competing proposed facility or program within the same district.
(d) The applicant’s failure to strictly comply with the requirements of s. 408.037(1) or paragraph (2)(c) is not cause for dismissal of the application, unless the failure to comply impairs the fairness of the proceeding or affects the correctness of the action taken by the agency.
(e) The agency shall issue its final order within 45 days after receipt of the recommended order. If the agency fails to take action within such time, or as otherwise agreed to by the applicant and the agency, the applicant may take appropriate legal action to compel the agency to act. When making a determination on an application for a certificate of need, the agency is specifically exempt from the time limitations provided in s. 120.60(1).
(6) JUDICIAL REVIEW.
(a) A party to an administrative hearing for an application for a certificate of need has the right, within not more than 30 days after the date of the final order, to seek judicial review in the District Court of Appeal pursuant to s. 120.68. The agency shall be a party in any such proceeding.
(b) In such judicial review, the court shall affirm the final order of the agency, unless the decision is arbitrary, capricious, or not in compliance with ss. 408.031-408.045.
(c) The court, in its discretion, may award reasonable attorney’s fees and costs to the prevailing party if the court finds that there was a complete absence of a justiciable issue of law or fact raised by the losing party.
History.s. 26, ch. 87-92; s. 9, ch. 89-354; s. 15, ch. 92-33; s. 125, ch. 92-279; s. 55, ch. 92-326; s. 12, ch. 95-144; s. 190, ch. 96-410; s. 18, ch. 97-79; s. 5, ch. 97-270; s. 10, ch. 2000-256; s. 11, ch. 2000-318; s. 9, ch. 2004-383; s. 3, ch. 2008-29; s. 46, ch. 2013-14; s. 17, ch. 2019-136.
Note.Former s. 381.709.

F.S. 408.039 on Google Scholar

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Amendments to 408.039


Annotations, Discussions, Cases:

Cases Citing Statute 408.039

Total Results: 15  |  Sort by: Relevance  |  Newest First

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Cleveland Clinic v. Agency for Hlth. Care, 679 So. 2d 1237 (Fla. 1st DCA 1996).

Cited 9 times | Published | Florida 1st District Court of Appeal | 1996 WL 498166

...change in the licensed bed capacity, and no new services subject to CON review; and that the project was "not driven by a fixed need pool." AHCA also admitted in proceedings below that Cleveland's application was not subjected to the requirements of section 408.039(1) and (2), Florida Statutes, and that it was not comparatively reviewed against any other pending applications....
...sues raised by the orders of the hearing officer and AHCA. Cleveland first contends that the hearing officer's order granting intervention and remanding to AHCA for comparative review was beyond the hearing officer's jurisdiction and in violation of section 408.039(5)(b), Florida Statutes, as well as established agency rules and judicial precedent....
...t does not fall within the express condition of section 408.036(1) that the proposed project be accomplished at the location of the existing hospital. AHCA's order further finds this interpretation consistent with the limitation on standing found in section 408.039(5)(b), which denies standing to health care providers to intervene in an administrative proceeding which is subject to CON review "solely on the basis of section 408.036(1)(c)." The primary focus of Cleveland's attack on the agency's...
...pital was entitled to expedited, non-comparative review. We approved the contention by HRS that the relocation of a hospital qualified as a "capital expenditure" under section 381.706(1)(c) (now 408.032(1)), and that under section 381.709(5)(b) (now 408.039(5)(b)), existing health care providers have "no standing or right to intervene in an administrative hearing involving the [sic] health care project which is subject to certificate of need review solely on the basis of section 381.706(1)(c) [now 408.036(1)(c)]." 599 So.2d at 212....
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Big Bend Hospice v. Agency for Health Care, 904 So. 2d 610 (Fla. 1st DCA 2005).

Cited 7 times | Published | Florida 1st District Court of Appeal | 2005 WL 1420856

...law, or otherwise constitutes an abuse of discretion. See Legal Envtl. Assistance Found., Inc. v. Clark, 668 So.2d 982 (Fla.1996). AHCA argues that the standard of review in appeals of orders regarding certificates of need is governed exclusively by section 408.039(6)(b), Florida Statutes (2001), which provides that the reviewing court "shall affirm the final order of the agency, unless the decision is arbitrary, capricious, or not in compliance with ss....
...408.031-408.045 [the Health Facility and Development Act]." AHCA argues that, by this statute, the Legislature has determined that final orders relating to certificates of need are to be accorded more deference than agency orders are generally accorded under section 120.68. We cannot agree. We read section 408.039(6)(b) in pari materia with section 120.68(7) and conclude that section 408.039(6)(b) is simply a restatement of the standard of review set forth in section 120.68(7) generally....
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Lakeland Reg'l Med. Ctr. Inc. v. Ahca, 917 So. 2d 1024 (Fla. 1st DCA 2006).

Cited 7 times | Published | Florida 1st District Court of Appeal

...ven Hospital's application. Lakeland Regional responded by filing, in April 2003, a petition for formal administration hearing, presenting issues which, if resolved in its favor, would result in the denial of Winter Haven Hospital's application. See § 408.039(5)(c), Fla....
...ces of intent to issue a CON by AHCA. A notice of intent is only awarded after AHCA reviews the CON application and a CON would have been awarded to Winter Haven Hospital based on this review had Lakeland Regional not challenged the application. See § 408.039(4), Fla....
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Vantage Healthcare v. Health Care Admin., 687 So. 2d 306 (Fla. 1st DCA 1997).

Cited 7 times | Published | Florida 1st District Court of Appeal | 1997 WL 26468

...onal 63 community nursing home beds in Manatee County, Florida. Vantage timely filed a letter of intent to apply for the CON for those beds on October 31, 1994. That triggered the grace period for competing applicants to file letters of intent under section 408.039(2)(b) and Florida Administrative Code Rule 59C-1.008(1)(g)....
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Hospice of Palm Beach Cnty. v. State, 876 So. 2d 4 (Fla. 1st DCA 2004).

Cited 5 times | Published | Florida 1st District Court of Appeal | 2004 WL 874929

...Here, HPBC's allegations were sufficient to at least raise a factual question as to whether the issuance of a license resulted from the issuance of a de facto CON. HPBC, a hospice provider in Palm Beach County, has statutory standing to intervene in a competitor's CON proceedings. Section 408.039(5)(c) provides that "[e]xisting health care facilities may initiate or intervene in an administrative hearing upon a showing that an established program will be substantially affected by the issuance of any certificate of need ......
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Pub. Health Trust of Miami-Dade Cnty. v. State, 751 So. 2d 112 (Fla. 3d DCA 2000).

Cited 1 times | Published | Florida 3rd District Court of Appeal | 2000 Fla. App. LEXIS 51, 2000 WL 3851

...The Health Trust filed a timely Petition for Administrative Hearing, appealing the decision to award a CON to the Cleveland Clinic. The Cleveland Clinic responded with a motion to dismiss the Health Trust’s petition, arguing that the Health Trust lacked standing to initiate an administrative proceeding under section 408.039(5)(c), Florida Statutes [the “standing” provision]....
...That section provides that: Existing health care facilities may initiate or intervene in an administrative hearing upon a showing that an established program will be substantially affected by the issuance of any certificate of need to a competing proposed facility or program within the same district. § 408.039(5)(c), Fla....
...poses “transplant region” was synonymous with the term “district.” The administrative law judge, after hearing argument, recommended that the agency grant Cleveland Clinic’s motion to dismiss, finding that, pursuant to the plain meaning of section 408.039, a petition for administrative review of an agency’s CON action must allege that an established program was within the same district....
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Hlth. Care & Ret. Corp. v. Tarpon Springs, 671 So. 2d 217 (Fla. 1st DCA 1996).

Cited 1 times | Published | Florida 1st District Court of Appeal

...sed under Chapter 395, F.S., which are located in a distinct part of a hospital that is Medicare certified as a skilled nursing unit. All proposals for community nursing home beds will be comparatively reviewed consistent with the requirements of subsection 408.039(1), F.S., and consistent with the batching cycles for nursing home projects described in paragraph 59C-1.008(1)( l ), F.A.C.......
...the overall community nursing home inventory. He noted, based upon the findings of fact set out above, that "such hospital based units are not similar in terms of services, facilities, and equipment when compared to all community nursing home beds." Section 408.039(1), Florida Statutes (1993), allows certificate of need review in the same cycle of "all completed applications pertaining to similar types of services, facilities, or equipment...." The order concludes that the challenged rule contravenes this statute....
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Life Care Centers of Am., Inc. v. HEALTH CARE & Ret. CORP., 692 So. 2d 243 (Fla. 1st DCA 1997).

Cited 1 times | Published | Florida 1st District Court of Appeal | 1997 Fla. App. LEXIS 4132, 1997 WL 193835

...Life Care's appellate issue is: "Whether the final order rests upon findings that are contrary to the record evidence, and upon invalid legal conclusions?" Appellee HCR seeks appellate attorney's fees on the basis of section 120.595(5), Florida Statutes (Supp.1996), and section 408.039(6)(c), Florida Statutes....
...ees and reasonable costs to the prevailing party if the court finds that the appeal was frivolous, meritless, or an abuse of the appellate process, or that the agency action which precipitated the appeal was a gross abuse of the agency's discretion. Section 408.039(6)(c) allows the court, in its discretion, to award a reasonable attorney's fees and costs to the prevailing party in an appeal from a certificate of need proceeding if the court finds that there was a complete absence of a justiciable issue of law or fact raised by the losing party....
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Gulf Coast Health Care, Inc. v. Agency for Health Care Admin., 679 So. 2d 338 (Fla. Dist. Ct. App. 1996).

Published | District Court of Appeal of Florida | 1996 Fla. App. LEXIS 9262, 1996 WL 496156

meet the threshold standing requirements of section 408.039(5)(b), as explained in our decision in HCA
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Baker Cnty. Med. Servs., Inc. etc. v. State of Florida, Agency for Health etc., 178 So. 3d 71 (Fla. 1st DCA 2015).

Published | Florida 1st District Court of Appeal

...g for applications (and reapplications) in biennial review/batching cycles so that health care projects can be proposed, compared, and authorized expeditiously by AHCA in response to the dynamics of the often-shifting health care marketplace. See § 408.039, Fla....
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Hope Hospice & Cmty. Servs., Inc. v. Agency for Health Care Admin.; Vitas Healthcare Corp. of Florida, Inc. (Fla. 1st DCA 2025).

Published | Florida 1st District Court of Appeal

...peal. First, when a final order granting or denying a CON application is appealed, Florida law directs courts to “affirm the final order of the agency, unless the decision is arbitrary, capricious, or not in compliance with ss. 408.031-408.045.” § 408.039(6)(b), Fla....
...That a county or counties within the service area of a licensed Hospice program are not being served.” Id. AHCA’s process for reviewing CON applications allows parties to obtain an administrative hearing after it conditionally grants or denies a CON application. See § 408.039(4)-(5), Fla....
...s because these populations and counties were “not being served.” With respect to the final hearing evidence here, AHCA’s decision is not arbitrary, capricious, or out of compliance with the requirements of chapter 408, Florida Statutes. § 408.039(6)(b), Fla....
...But we agree with VITAS that AHCA’s revision to this paragraph, contained within a section of the order addressing “Hope’s Opposition . . .,” is not reversible error and made no substantive difference in the special circumstances analysis or to the decision to grant VITAS’s CON application. For purposes of section 408.039(6)(b), Florida Statutes, AHCA’s action was not arbitrary, capricious, or in violation of the applicable provisions of chapter 408....
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Ago (Fla. Att'y Gen. 2007).

Published | Florida Attorney General Reports

Stat. 17 Section 408.033(1)(c), Fla. Stat. Section 408.039(3)(b), Fla. Stat., provides that upon the request
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Mem'l Healthcare Grp., Inc. v. State, Agency for Health Care Admin., 879 So. 2d 72 (Fla. 1st DCA 2004).

Published | Florida 1st District Court of Appeal | 2004 Fla. App. LEXIS 11418, 2004 WL 1736870

...may initiate or intervene in an administrative hearing upon a showing that an established program will be substantially affected by the issuance of any certificate of need ... to a competing proposed facility or program within the same district.” § 408.039(5)(c), Fla....
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ORLANDO HEALTH Cent., Inc. v. Agency For Health Care Admin., 252 So. 3d 849 (Fla. Dist. Ct. App. 2018).

Published | District Court of Appeal of Florida

expansion are subject to “comparative review.” § 408.039, Fla. Stat. (2017). When review is complete, the
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Miami Jewish Home & Hosp. for the Aged, Inc. v. Agency for Health Care Admin., 710 So. 2d 77 (Fla. 1st DCA 1998).

Published | Florida 1st District Court of Appeal | 1998 Fla. App. LEXIS 3661, 1998 WL 158740

...ida Dep’t of Transp. v. J.W.C. Co., 396 So.2d 778, 786 (Fla. 1st DCA 1981). Lastly, MJH has failed to demonstrate that the Agency’s final order was arbitrary, capricious or not in compliance with the Health Facility and Services Development Act. § 408.039(6)(b), Fla....

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